NPIMap

Organization Active NPI

Team Physicians of California Medical Group Inc

  • Emergency Medicine Physician
  • Delano, CA
National Provider Identifier
1447288345
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
TEAM PHYSICIANS OF CALIFORNIA MEDICAL GROUP INC
Practice address
1401 Garces Hwy
Delano, CA 93215-3690
Phone
(925) 924-1600
NPI assigned
Jun 29, 2006
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robin Tracci Mouganis
Title
Director, Provider Enrollment
Phone
(856) 686-4394

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

1401 Garces Hwy
Delano, CA 93215-3690

Mailing address

PO Box 634600
Cincinnati, OH 45263-4600

Other identifiers 11

IdentifierTypeStateIssuer
DD4942OtherCATULARE RAILROAD
GR008324GMedicaidCA
ZZZ03631ZOtherCADELANO BLUE SHIELD
GR008324EMedicaidCA
GR0083246MedicaidCA
GR0083247MedicaidCA
GR008324HMedicaidCA
DD4942OtherCADELANO RAILROAD
ZZZ002402OtherCALA COMMUNITY BLUE SHIELD
CG0978OtherCALA COMMUNITY RAILROAD
ZZZ65040ZOtherCATULARE BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040920000880 CA Part B Supplier - Clinic/Group Practice 8224945084 Receives reassigned benefits from 392 practitioners
Practice locations: Stockton, CA; Thousand Oaks, CA; Sun Valley, CA; Lodi, CA; Delano, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 490

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 490

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1447288345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634600",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452634600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GARCES HWY",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153690",
            "telephone_number": "925-924-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM PHYSICIANS OF CALIFORNIA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "MOUGANIS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "TRACCI",
        "authorized_official_title_or_position": "DIRECTOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "856-686-4394"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TULARE RAILROAD",
            "identifier": "DD4942",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR008324G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELANO BLUE SHIELD",
            "identifier": "ZZZ03631Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR008324E",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083246",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083247",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR008324H",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELANO RAILROAD",
            "identifier": "DD4942",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA COMMUNITY BLUE SHIELD",
            "identifier": "ZZZ002402",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA COMMUNITY RAILROAD",
            "identifier": "CG0978",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TULARE BLUE SHIELD",
            "identifier": "ZZZ65040Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.